POLISH SOCIETY FOR EMERGENCY MEDICINE CHAIR OF EMERGENCY MEDICINE MEDICAL UNIVERSITY, WROCLAW WINTER SYMPOSIUM OF EMERGENCY MEDICINE AND INTENSIVE CARE 2008 Karpacz, March 4 th 8 th 2008 Final Program
SCIENTIFIC COMMITTEE Chairman: Professor Juliusz Jakubaszko Chair of Emergency Medicine, Medical University, Wroclaw, Poland Members: Joe Lex MD FAAEM San Antonio, Texas, USA Professor Jerzy Karski Chair of Traumatology and Emergency Medicine, Medical University in Lublin, Poland Professor Jerzy Ładny Chair of Emergency Medicine, Medical University in, Bialystok, Poland Professor Maria Referowska Chair of Emergency and Disaster Medicine, Medical University in Gdansk, Poland Professor Krystyn Sosada Chair of Emergency Medicine, Medical University in Katowice, Poland Professor Andrzej Zawadzki Medical Rescue Division, Medical University in Warsaw, Poland Ewa Raniszewska, MD, PhD Chair of Emergency and Disaster Medicine, Medical University in Gdansk, Poland
INVITED SPEAKERS Professor Ronald F. Maio Department of Emergency Medicine, University of Michigan, USA Professor Oto Masár Chair and Clinic Of Emergency and Disaster Medicine J.A. Komenski University, Bratysława, Czech Republic Rebecca Cunningham MD Department of Emergency Medicine and Department of Psychiatry University of Michigan, USA Karl-Åke Jansson, MD University Hospital, Karolinska Institute, Stockholm, Sweden Dr med.tomasz Jurek Chair of Forensic Medicine, Medical Law Unit, Wroclaw Medical University, Poland Folke Lind MD University Hospital, Karolinska Institute, Stockholm, Sweden Anthony Martin MD University College Hospital, Galway, Ireland Ian Millar MD Alfred Hospital, Melbourne, Australia Patrick Plunkett MD Trinity College, Dublin, Irlandia Stanisław Ryniak MD, PhD University Hospital, Karolinska Institute, Stockholm, Sweden Georgios Gr. Sidiras MD Athens Naval Hospital, Greece Jiri Stana MD Rally Rejviz Sports Club, Czech Republic Marcin Śliwka MD, PhD Mikołaj Kopernik University, Toruń, Poland Marcin Wojnar MD, PhD Department of Psychiatry, University of Michigan, Ann Arbor, USA Chair and Clinic of Psychiatry, Medical University, Warsaw, Poland
Polish Society for Emergency Medicine Chair of Emergency Medicine, Medical University in Wroclaw 50-345 Wrocław, Bujwida str. 44a tel. + 48 071 328 60 45, fax. +48 071 328 60 16 jjak@emerg.am.wroc.pl www.medycynaratunkowa.com.pl Bank Account: KB S.A. IV O/Wrocław 22 1500 1793 1217 9003 0975 0000
ORGANIZING COMMITTEE President: Professor Juliusz Jakubaszko Members: Krzysztof Dudek MD, PhD Joanna Jakubaszko Jabłońska MD, PhD Kinga Niewińska MD, PhD Marek Sehn MD, PhD Lilianna Styka MD, PhD Goutam Chourasia MD Michał Fleischer MD Ewa Jankowska MD Paweł Jonek MD Julian Rybak MD Janusz Sokołowski MD Barbara Wartenberg MD Dorota Wroczyńska MD Joanna Hałas MD Julita Soczywko MSc Secretariat: Ewa Semków, MSc Agnieszka Szklarz, Ewa Polak Chair of Emergency Medicine, Medical University in Wrocław 50-345 Wrocław, Bujwida str. 44a tel. +48 071 328 60 45, fax. +48 071 328 60 16 jjak@emerg.am.wroc.pl Symposium s Venue Hotel Orbis Skalny Karpacz, Obrońców str. 5 tel./fax. +48 075 752 70 00 skalny@orbis.pl
GENERAL INFORMATION Symposium Secretariat Orbis Hotel Skalny, Karpacz, Obrońców str. 5 Main Hall tel./fax. (075) 752-70-00 Opening Hours: Tuesday: Wednesday, Thursday, Friday: Saturday: Languages: Polish, English 3 pm 7 pm 8.30 am 1 pm 3 pm 4 pm 8.30 am 11 am Breakfast: Lunch: Meals: 7 am 8.45 am 2 pm 3 pm Social Program Rescue Trophy Extreme Tuesday, March 4th, 11.30 am Wrocław Bolków - Rudawy Janowickie Karpacz Start: Chair of Emergency Medicine, Clinical Center, Medical University, Wroclaw Organisers: Juliusz Jakubaszko PTMR, Julian Rybak EMS, Paweł Jonek - GOPR, Alina Nawrocka - Volkswagen Commercial Vehicles Folk Dinner at Chata Karkonoska Wednesday, March 5th, 8.00 pm Sponsor: Roche Diagnostics Poland Folk Dinner at U Ducha Gór Wednesday, March 5th, 8.00 pm Sponsor: Emergency Medical System Poland, Radiometer Evening in Philharmonic Hall, Jelenia Góra Sponsor: Volkswagen Commercial Vehicles Thursday 6th March, 7.30 pm Filharmonia Dolnośląska, Jelenia Góra (bus departure from Skalny Hotel 6.45 pm) Official Dinner in Skalny Hotel Friday, March 7th, 8.00 pm Volkswagen 4 MOTION Vehicles Off-road Races organizer: Volkswagen Commercial Vehicles Wednesday, Thursday, Friday 11 am 4 pm
CONCERT Philharmonic Hall, Jelenia Góra Thursday, March 6th, 7.30 pm Part I Classical Accordion Quartet - Harmonia Lvov Peter Chyrys, Oleksandr Drach, Marjan Pańkiv, Mykola Holovchak Program: J. S. Bach Toccata i Fuga" d-moll A. Vivaldi Koncert f-moll z cyklu Cztery pory roku Zima" 1 cz. A. Vivaldi Koncert g-moll z cyklu Cztery pory roku Lato" 2 i 3cz. A. Chaczaturian Taniec z szablami" I. Albeniz Asturia" W. A. Mozart Marsz turecki" J. Rossini Kawatyna Figaro z opery Cyrulik sewilski" A. Piazzolla Libertango" A. Piazzolla Oblivion" R. Galliano Tango pour Claude" V. Monti Czardasz Part II Classic Guitar Assembly "Pietrzak Duo" Anna & Łukasz Pietrzak Astor Piazzolla - Triunfal Sergio Assad - 3 sceny brazylijskie Sergio Assad "Invitation" Sergio Assad - "Cancao" Astor Piazzolla - Tango suite Małgorzata Przybysz - vocal & Łukasz Pietrzak - guitar - Antonio Carlos Jobim - "One note samba" - Antonio Carlos Jobim - "The girl from Ipanema" - Georg Gershwin - "Summertime" - Sen o życiu, A gdy uznamy, Zamiast (songs of Edyta Geppert)
SCIENTIFIC PROGRAMME WEDNESDAY March 5th, 2008 9.00 Official Opening of the Symposium Welcome for the participants and invited guests prof. Juliusz Jakubaszko (Wroclaw) JM Rektor prof. Ryszard Andrzejak (Wroclaw) Welcome Address of Polish Ministry of Health Andrzej Włodarczyk (Warsaw) Session I 9.30 11.00 Emergency Medicine 2008 Europe Poland Chairmen: Juliusz Jakubaszko, Jerzy Karski 1. Emergency Medicine 2008 Europe Poland (15 ) Juliusz Jakubaszko (Wroclaw) 2. New opening for the emergency medicine in Poland (15 ) Andrzej Włodarczyk (Warsaw) 3. System changes in postgraduate training of doctors (15 ) Roman Danielewicz (Warsaw) 4. Portfolio. Change in Training and Documentation (20 ) Anthony Martin (Galway) 5. Emergency medicine as a medical specialty current status 2008 (10 ) Jerzy Karski (Lublin) 6. Aims and perspectives for Emergency and Disasters Medicine Clinic at J.A. Komenski s Medical University in Bratysława (15 ) Oto Masar (Bratyslawa) 11.00 11.30 Coffee break
Session II 11.30 13.30 Daily routines of hospital emergency department Chairmen: Andrzej Zawadzki, Ewa Raniszewska 1. One Day in Emergency Medicine University Clinic reality of education and treatment within the training unit (15 ) Joanna Hałas, Iwona Urbanowicz, Juliusz Jakubaszko, Przemysław Paciorek (Bydgoszcz) 2. Hospital Emergency Department in Zielona Góra (15 ) Ziad Halabi (Zielona Góra) 3. Spectrum analysis of patients treated in ED of University Hospital in Białystok (15 ) Agnieszka Lidia Szymańska, Grzegorz Myćko, Marzena Wojewódzka-Żelezniakowicz, Sławomir Lech Czaban, Bogusław Poniatowski, Jerzy Robert Ładny (Bialystok) 4. One day in ED of Marciniak s Hospital in Wrocław (15 ) Marek Sehn, Ewa Jankowska, Juliusz Jakubaszko (Wroclaw) 5. Perseverance and fascination keys to success on example of hospital emergency department in Ostrów Wielkopolski (15 ) Dariusz Bierła (Ostrów Wielkopolski) 13.30 Rescue Trophy Extreme final results Juliusz Jakubaszko, Julian Rybak, Paweł Jonek, Alina Nawrocka 14.00 15.00 Lunch
Session III 15.00 17.00 Medical rescue system units and personnel Chairmen: Maria Referowska, Marek Sehn 1. Stress and Burn-out In Emergency Medicine Personnel (30 ) Ronald Maio (Michigan) 2. Organizational aspects of French health system: towards an improvement of quality in emergency medicine? (15 ) Violetta Jauriac, Marie-Pierre Poloujadoff (Nogent le Rotrou) 3. Analysis of overwork phenomenon as an element of professional burn-out in emergency department staff (15 ) Julita Soczywko, Juliusz Jakubaszko (Bydgoszcz) 4. HEMS as an element of National Emergency Systems an example of SP ZOZ LPR in Bydgoszcz in 2005 (15 ) Robert Gałązkowski, Julita Soczywko, Michał Długopolski, Juliusz Jakubaszko 5. Telemedicine in Hospital Emergency Department (15 ) Marcin Wieczorski, Agnieszka Pedrycz (Lublin) 6. The nurse and the rescuer evaluation of their duties during emergency procedures in ED (15 ) Krystyna Mania, Arkadiusz Tylman, Ewa Pelwecka, Iwona Niedźwiedzka, Dorota Musztyfaga (Wroclaw) 7. Current status of preparedness for air disasters management of emergency team at Warsaw Airport (15 ) Paweł Krawczyński, Andrzej Kański, Ryszard Stykowski, Paweł Andruszkiewicz, Paweł Kaźmierczak, Karol Skarżyński, Michał Wykuż (Warsaw) 8. Is there a place for N (neonatal) ambulance in emergency medicine system? (15 ) Bogusław Bucki, Jacek Karpe, Dariusz Budziński, Urszula Kostowska-Kapłon, Kamila Gumprecht (Katowice) 17.00 Polish Society for Emergency Medicine - Board Meeting 20.00 Folk Dinner in Chata Karkonoska and U Ducha Gór 10
THURSDAY March 6th 2008 Session IV 9.00 11.00 Emergency Department Clinical Practice Chairmen: Juliusz Jakubaszko, Kinga Niewińska 1. Pain and Principles of treatment (30 ) Anthony Martin (Galway) 2. Evidence-Based Wound Care: Why We Do What We Do (30 ) Joe Lex (San Antonio) 3. Emergency Managements of Seizure (30 ) Patrick Plunkett (Dublin) 4. Ten Common Complaints You Will See in Your ED (And the Right Way to Treat Them) (30 ) Joe Lex (San Antonio) 11.00 11.30 Coffee break Session V 11.30 14.00 Ethics and law in emergency medicine Chairmen: Andrzej Zawadzki, Maria Referowska 14.00 15.00 Lunch 1. Ethical Dilemma in EM practice (30 ) Patrick Plunkett (Dublin) 2. Management of Acute Psychiatric States in Emergency Medicine (30 ) Marcin Wojnar (Michigan) 3. Legal dilemmas in emergency actions (15 ) Tomasz Jurek, Barbara Świątek (Wrocław) 4. Obligation to treat and treatment limits (15 ) Marcin Śliwka (Torun) 5. Responsibility of medical professional for undertaking emergency action under the influence of alcohol (15 ) Tomasz Jurek, Barbara Świątek (Wroclaw) 6. Psychological aspects of emergency medicine (15 ) Magdalena Skotnicka, Jacek Gorzkowski (Warsaw) 7. Videolaryngoscope technology of Glidescope (10 ) Mariusz Kowalski (Lublin) 11
Session VI 15.00 17.30 Emergency Department Clinical Practice part II Chairmen: Jerzy Karski, Ewa Raniszewska 1. Haematology / Oncology / Immunology Emergencies (30 ) Joe Lex (San Antonio) 2. Acute Alcohol Related Problems in the Practice of Emergency Medicine (30 ) Rebeccka Cunningham (Michigan) 3. Haematology emergencies case report of sickle-cell crisis (15 ) Jerzy Węgielnik, Ewa Raniszewska, Damian Szatkowski, R. Szymczak, Andrzej Basiński (Gdańsk) 4. Time of diagnostic and therapeutic procedures in acute stroke comparative study in Clinical Emergency Department s patients (15 ) Piotr Zabielski, Grzegorz Kozera, Ewa Raniszewska, Walenty M. Nyka (Gdańsk) 5. Effective resuscitation performance with the use of new generation intraosseous needles (15 ) Fadel Soliman (Austria) 6. Initial antibiotic therapy in ED (15 ) Michał Fleischer, Juliusz Jakubaszko (Wrocław) 7. Thrombolytic treatment in ischemic stroke evaluation of patients past medical history determinance. Material of Pomorski Rejestr Udarów Mózgu (15 ) Grzegorz Kozera, Kamil Chwojnicki, Walenty Michał Nyka, members of PRUM (Gdańsk) 8. Acute limb ischemia in emergency practice (15 ) Agnieszka Piętka, Andrzej Gorzka (Gryfice) 9. Rhabdomyolysis and crush syndrome - case report (15 ) Maciej Piwoda, Jarosław Kostyła, Ewa Trejnowska, Marek Dryja (Opole) 12
10. Pre-hospital and early hospital treatment of patients with cerebrospinal trauma (15 ) Mirosław Ząbek, Artur Zaczyński, Jacek Gorzkowski (Warsaw) 18.45 Departure to Philharmonic Hall 19.30 Concert in Philharmonic Hall in Jelenia Góra 13
FRIDAY March 7th 2008 Session VII 9.00 11.00 Hyperbaric Oxygen Therapy in emergency medicine. Chairmen: Juliusz Jakubaszko, Folke Lind 1. HBO Mechanisms, Indications & Practise (30 ) Folke Lind (Stockholm) 2. HBO in Acute Traumatic Ischemias & HBO Practise in Australia (30 ) Ian Millar (Melbourne) 3. Management of diving accidents using hyperbaric oxygenation (30 ) Georgios Gr. Sidiras (Athens) 4. Orthopedic Management of High Energy Trauma & The Severely Injured Extremity (30 ) Karl-Åke Jansson (Stockholm) 11.00 11.30 Coffee break Session VIII 11.30 14.00 Injury to and acute bleeding within chest and gastrointestinal tract. Chairmen: Jerzy Ładny, Krzysztof Dudek 1. Updates on Chest Trauma: Commotio Cordis, Sternal Fracture, Flail Chest, Traumatic Asphyxia (30 ) Joe Lex (San Antonio) 2. Resuscitation with norepinephrine in a model of uncontrolled hemorrhagic shock associated or not with trauma brain injury in rats (15 ) Marie-Pierre Poloujadoff, V.C. Besson, M.S. Camara, V. Jauriac, M. Plotkine, C. Marchand-Leroux, F. Adnet(Nogent le Rotrou) 3. Aortic wall dissection. Scope of the problem, diagnosis and emergency management ( 15 ) Andrzej Dumański, Jacek Jakubaszko, Wojciech Kustrzycki (Wroclaw) 14
4. Survival of the patient with stab chest wound and myocardial injury treated in emergency department (15 ) Jarosław Majcherek, Maciej Kentel, Daniel Bujak (Wroclaw) 5. Cardiac tamponade in emergency department practice (15 ) Andrzej Markowski, Iwona Urbanowicz, Joanna Hałas, Przemysław Paciorek (Bydgoszcz) 6. Central vein cannulation in emergency department (15 ) Sławomir Lech Czaban, Marzena Wojewódzka- Żelezniakowicz, Bogusław Poniatowski, Jerzy Robert Ładny (Bialystok) 7. Severe oesophageal variceal bleeding. Diagnosis, treatment and management standards for the hospital ED (15 ) Jerzy Robert Ładny, Marzena Wojewódzka-Żelezniakowicz, Zdzisław Sawicki, Agnieszka Borysiewicz, Anna Sawicka, Bogusław Poniatowski (Bialystok) 8. Treatment of non-variceal upper gastrointestinal bleeding. Management standards for hospital ED (15 ) Jerzy Robert Ładny, Marzena Wojewódzka-Żelezniakowicz, Sławomir Czaban, Halim Nammous, Bogusław Poniatowski (Bialystok) 9. Stress ulcer as a therapeutic problem in ED (15 ) Jerzy Robert Ładny, Marzena Wojewódzka-Żelezniakowicz, Agnieszka Borysiewicz, Zdzisław Sawicki, Bogusław Poniatowski (Bialystok) 14.00 15.00 Lunch 15
16 Session IX 15.00 18.00 New technologies and emergency medicine practice. Chairmen: Krystyn Sosada, Marek Sehn 1. Bedside analysis of myocardial markers in ED (15 ) Janusz Sokołowski, Ewa Jankowska, Juliusz Jakubaszko (Wroclaw) 2. Use of ECMO in emergency treatment of ventilatory insufficiency (15 ) Stan Ryniak, Waldemar Goździk, Jacek Jakubaszko, Piotr Harbut, Anna Goździk (Stockholm) 3. Life threatening haemorrhages (15 ) Wojciech Żurawiński, Krystyn Sosada, Jerzy Piecuch (Zabrze) 4. Missed Injuries Analysis in Multiple Trauma Patients (15 ) Jacek Gwoździewicz, Jerzy Lasek, Wojciech Marks, Zbigniew Jankowski, Ewa Raniszewska, Katarzyna Gwoździewicz, Agnieszka Jackiewicz, Zbigniew Witkowski (Gdansk) 5. Usefulness of ultrasound use for central vein cannulation in ED patients (15 ) Robert Jureczko (Warsaw) 6. Mechanical assist to chest compressions own experience (15 ) Dariusz Timler (Lodz) 7. Intraosseous access as an alternative to intravenous lines. Bone Injection Gun (BIG)- fast, simple and safe intraosseous access (15 ) Jerzy Robert Ładny, Marzena Wojewódzka-Żelezniakowicz (Bialystok) 8. Benign head trauma in children current diagnostic strategies. Case analysis (15 ) Adam Domanasiewicz, Piotr Szetelnicki, Ireneusz Szwedo, Ahmed Elsaftawy, Jerzy Jabłecki (Trzebnica) 9. HES in anion solution new colloid for emergency medicine use (15 ) Piotr Grzechnik (Nowy Tomysl) 20.00 Official Dinner In the programme: 1. Nominations for: Journalist Ambassador of Emergency Medicine Winner Emergo Image 2008 2. Final results: Volkswagen 4 MOTION Vehicles Off-road races
SATURDAY March 8th 2008 Session X 9.00 10.30 Media Coverage in Promotion of Emergency Medicine Chairmen: Juliusz Jakubaszko, Andrzej Zawadzki Discussion Panel public media representatives Session XI 10.30 12.00 Professional training and health promotion from emergency medicine perspective Chairmen: Krystyn Sosada, Lilianna Styka 1. Save our lives: Implementation of Emergency Medicine skills training into a medical faculty curriculum in the Czech Republic (30 ) A. Michalcová, V. Mihál, V. Procházka, Ch. Redelsteiner, D. Kvapil, J. Staňa (Olomouc) 2. Training of medical rescues curriculum versus skills (30 ) Ireneusz Przewłocki, Oto Masár, Marcel Brenner, Hana Turečková, Miroslav Chabroň (Bratyslawa) 3. Towards establishing of continuous CPR training extent for medical rescue teams (15 ) Agnieszka Baranowska, Lilianna Styka, Marta Burko (Wroclaw) 4. Knowledge of first aid principles among teenage pupils in certain schools in Opole region (15 ) Grażyna Skotnicka-Klonowicz, Wioletta Szczepańska (Lodz) 12.00 12.30 CLOSING OF THE SYMPOSIUM 17
Workshops Fogarty International Injury One-Day Workshop Chairman: Frederic C. Blow University of Michigan Andrzej Zawadzki Medical Rescue Division, Medical University in Warsaw Alpejski Hotel Thursday, March 6 th 9.00 17.15 Preliminary Program 9.00 3.30 Introductions Andrzej Zawadzki, Frederic Blow 9.30 10.30 Newest Research on Injury and Alcohol Ronaldo Maio 10.30 11.15 Conducting Research in Hospital and Emergency Settings Rebecca Cunningham Break 11.30 12.30 Developing Research Questions Marcin Wojnar 12.30 13.30 Research Methods and Statistics Overview Frederic Blow Lunch 15.00 16.30 Workshop in Small Groups to Develop Research Questions, Specific Aims and Methods Kristen Barry, Faculty and Participants 16.30 17.15 Discussion of Workshop Results and Future Directions 18